2023 Atrial Fibrillation Guidelines: An Overview-2023 Atrial Fibrillation Guidelines: An Overview

Video Transcription

Video Summary

The video is a comprehensive webinar hosted by the ACC CV Team Educational Committee, aimed at cardiovascular providers, including physicians, advanced practice providers, nurses, and CVT members, focusing on updated guidelines and practices related to atrial fibrillation (AFib). Dr. Michael Hoosian, an expert in cardiovascular medicine and cardiac electrophysiology, presents new guidelines from 2023, addressing changes since the last updates in 2014 and 2019. <br /><br />Key highlights include a new classification scheme for AFib that transitions from merely duration-based to stage-based classification, emphasis on risk factor modification, and the importance of a multidisciplinary approach to patient care. The session underscores catheter ablation as a potential first-line therapy in select patients and introduces stronger recommendations for the use of consumer wearables to monitor AFib.<br /><br />The webinar also delves into thromboembolism prevention, advocating for anticoagulation based primarily on stroke risk rather than AFib patterns, and disapproving the use of antiplatelet therapy as a substitute for anticoagulants. Updated recommendations for managing patients with subclinical AFib detected via devices are discussed, alongside new guidelines for rhythm control, especially in heart failure patients.<br /><br />Finally, the session concludes with practical insights into patient management leading up to and after catheter ablation and new perspectives on appendage closure to prevent stroke. Dr. Hoosian emphasizes a proactive approach over a reactive one to managing AFib, focusing on long-term outcomes. The webinar is detailed, offering significant insights into evolving clinical practices for AFib management.

Keywords

atrial fibrillation

cardiovascular providers

updated guidelines

Dr. Michael Hoosian

stage-based classification

risk factor modification

multidisciplinary approach

catheter ablation

consumer wearables

thromboembolism prevention

anticoagulation